Provider Demographics
NPI:1760285159
Name:ELITE WOUNDCARE ASSOCIATES PLLC
Entity type:Organization
Organization Name:ELITE WOUNDCARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:517-402-9590
Mailing Address - Street 1:100 RENAISSANCE CTR STE 10140245
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48243-1114
Mailing Address - Country:US
Mailing Address - Phone:517-402-9590
Mailing Address - Fax:
Practice Address - Street 1:100 RENAISSANCE CTR STE 10140245
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48243-1114
Practice Address - Country:US
Practice Address - Phone:517-402-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty